Ghauri R R, Lee A G
Texas A&M University Health Sciences Center, College Station, USA.
Surv Ophthalmol. 1998 Nov-Dec;43(3):270-4. doi: 10.1016/s0039-6257(98)00038-1.
A 13-year-old boy presented with acute loss of vision in his right eye of 2 weeks' duration. He had a high fever and was ill for several days, then improved but suffered recurrent episodes of sweating and a high fever. Ophthalmoscopy of the right eye showed optic disk edema, mild vitreous cells, and minimal exudates in the macula. Bartonella henselae titers were positive. A diagnosis of optic disk edema with a macular star secondary to cat-scratch disease was made. The patient was treated with doxycycline and made a dramatic improvement to visual acuity of 20/30 with a minimal residual relative central scotoma. The optic disk edema and macular star resolved, and the patient was left with mild optic atrophy in the right eye.
一名13岁男孩出现右眼急性视力丧失，病程2周。他曾高烧且患病数日，之后有所好转，但反复出现出汗和高烧症状。右眼检眼镜检查显示视盘水肿、轻度玻璃体细胞以及黄斑区少量渗出物。汉赛巴尔通体滴度呈阳性。诊断为猫抓病继发视盘水肿伴黄斑星芒。患者接受强力霉素治疗，视力显著改善至20/30，仅残留轻微相对中心暗点。视盘水肿和黄斑星芒消退，患者右眼遗留轻度视神经萎缩。
